<include file="Public/head" />
<link rel="stylesheet" href="__PUBLIC__/Home/css/baoming.css">
<script src="__PUBLIC__/Home/js/Validform_v5.3.2_min.js"></script>


    
	<div class="container register">
		<p class="tips">尊敬的家长，欢迎你！请花几分钟填写详细报名信息，这将有助于我们提前了解孩子和你的信息，及时与您取得联系，也将大大节省您来校后报名的时间。感谢你的理解与配合！</p>
		<h3>学生信息<span>凭报名号修改完善报名信息</span></h3>
		<form action="__URL__/apply" method="post" id="register-form">
			<ul>
                <input type="hidden" name="school_id" value="{$Think.get.school_id}">
				<li><span><b>*</b>学生姓名</span><input type="text"  name="name"  datatype="s" nullmsg="请输入您孩子的姓名！"></li>
				<li><span><b>*</b>性别</span>
					<input type="radio" name="sex" value="0" id="male" checked><label for="male">男</label> 
					<input type="radio" name="sex" value="1" id="female"><label for="female">女</label> 
				</li>
				<li><span>出生日期</span><input name="birthday" type="text"></li>
				<li><span><b>*</b>监护人</span>
					<input type="radio" name="curator" value="0" id="father" checked><label for="father">爸爸</label> 
					<input type="radio" name="curator" value="1" id="mother"><label for="mother">妈妈</label> 
					<input type="radio" name="curator" value="2" id="relative"><label for="relative">亲戚</label> 
				</li>
				<li><span><b>*</b>家长姓名</span><input name="curator_name" type="text" datatype="s"  nullmsg="请填写家长姓名！"></li>
				<li><span><b>*</b>家长手机</span><input name="curator_phone" type="text" datatype="m" nullmsg="手机号码不能为空"  errormsg="手机号码格式不正确"></li>
				<li><span>座机</span><input name="plane" type="text"></li>
				<li><span>QQ</span><input name="qq" type="text"></li>
				<li><span>邮箱</span><input name="email" type="text" datatype="e"></li>
				<li><span>家庭住址</span><textarea name="address"></textarea></li>
				<li><span>原就读学校</span><input type="text" name="school_name"></li>
				<li><span>验证码</span><input name="verify" type="text" id="captcha" ><img  id="reloadverify" src="{:U('School/verify')}"> <a href="javascript:reloadcode()">换一张</a></li>
				<li><input type="submit" value="提交"></li>
			</ul>
			
		</form>
		<script>
			$(function() {
				$("#register-form").Validform({
					tiptype:3, 
				});
			});
		</script>
	</div>
     <script type="text/javascript">
function reloadcode(){
document.getElementById('reloadverify').src =document.getElementById('reloadverify').src+'?'+Math.random();

}
</script>

<include file="Public/foot" />